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NPI 1831400977

NPI 1831400977 : MS. CHERYL MARIE GUERRIERO : SPARKS, NV

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General NPI Number Information
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    NPI Number           |    1831400977
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    Entity Type          |    Individual 
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    Provider Name        |    MS. CHERYL MARIE GUERRIERO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/23/2010
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    Last Update Date     |    11/20/2018
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Provider Practice Location Address
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    Address Line         |    1321 N MCCARRAN BLVD STE 104 
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    City                 |    SPARKS
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    State                |    NV
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    Zip                  |    89431-3873
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    Country              |    US
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    Telephone            |    530-494-9231
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6400 SHARLANDS AVE APT U2135 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89523-2757
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    Country              |    US
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    Telephone            |    781-861-0890
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    216932
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    7172-C
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    License Number State |    NV
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